东北农村糖尿病患病率知晓率治疗率与控制率调查及影响因素分析.docVIP

东北农村糖尿病患病率知晓率治疗率与控制率调查及影响因素分析 　　[摘要]目的了解我国东北农村地区35岁及以上人群糖尿病患病、知晓、治疗和控制情况以及糖尿病的影响因素，为制定农村地区糖尿病干预策略提供科学依据。方法采用整群随机抽样的方法选取吉林省2个县的35岁及以上的农村居民作为研究对象，通过问卷调查、体格检查和实验室检查来获取糖尿病及相关因素的资料。结果本研究用于糖尿病患病情况和影响因素分析的有效数据为2600人。我国东北地区35岁及以上农村居民糖尿病粗（年龄标化）患病率为7.3%（5.3%），粗（年龄标化）知晓率、治疗率、控制率和治疗控制率分别为54.7%（44.0%）、48.9%（39.7%）、14.7%（10.0%）和30.11%（18.0%）。女性、高龄、有家族史和不饮酒人群知晓率和治疗率较高（P0.05），而且治疗率还与腹型肥胖有关（P0.05）。多因素Logistic回归分析发现年龄、家族史、是否为腹型肥胖、血脂异常和高血压患病情况等5个因素是我国东北地区35岁及以上农村居民糖尿病的影响因素（OR=1.55～5.30）。结论我国东北地区35岁及以上农村居民糖尿病患病率较高，但是知晓、治疗和控制水平较低，亟待采取有针对性的干预措施来防控糖尿病的发生和发展。 　　[关键词]糖尿病；患病率；知晓率；治疗率；控制率；影响因素；农村 　　中图分类号：587.1文献标识码：A文章编号：1009_816X（2014）06_0450_06 　　[Abstract] Objective To investigate the rates of prevalence， awareness， treatment and control of diabetes mellitus （DM） as well as the DM risk factors among Chinese rural population aged 35 and older in northeast China. Methods Rural residents aged 35 and older in 2 counties of Jilin Province were randomly selected through cluster sampling. Data related to DM and other factors was obtained by questionnaires， physical measures and laboratory tests to provide scientific evidence for the diabetes intervention in rural areas. Results A total of 2600 individuals were eligible for the analysis of DM prevalence and relevant risk factors. The crude （age_adjusted） prevalence of DM among the rural residents aged 35 and older in northeast China was 7.3% （5.3%）； the crude （age_adjusted） rates of awareness， treatment， control and control under treatment of diabetes were 54.7% （44.0%）， 48.9% （39.7%）， 14.7% （10.0%） and 30.11% （18.0%） respectively. The rates of awareness and treatment were significantly higher in female population， the elderly， individuals with a family history and non_drinkers （P0.05）. Additionally， the rate of treatment was found correlated with abdominal obesity （P0.05）. Multiple logistic regression analysis showed that 5 factors were correlated with DM among the rural residents aged 35 and older in northeast China， including age， family h